Dystopia as manifestations of traumatic injuries of the orbit

Abstract

Fracture of the bones in the area of the lower wall of the orbit, the most common injury of the orbit, which leads to a hernia of the orbital tissue, enophthalmos, hypophthalmos and other functional disorders of the orbital organ complex. Combined (inferomedial) and combined (damage to the orbit, bones of the facial, cerebral parts of the skull) fractures lead to pronounced changes in the anatomical and topographic relationships of the orbit. The severity of enophthalmos and hypophthalmos depends on the type of orbital fracture, and the durability of its preservation on the timing of patients seeking specialized medical care, and in the postoperative period on the type of implant used. The use of an individual implant eliminated enophthalmos in all (100 %) patients with isolated and combined fractures, as well as in 81 % of patients in the group with combined damage to the orbital wall due to the corretion of the posteromedial part of the inferior wall of the orbit, which is impossible to achieve using standart implants also contributed to the elimination of hypophthalmos in all patients with isolated and combined fractures and in 95 % of patients in the main group with combined damage to the orbit.